Case Management Analyst - LPN - Work at Home

Cigna Healthcare•Illinois Work at Home, IL

2d•$24 - $37•Remote

About The Position

Bring your clinical judgment, compassion, and problem-solving skills to a role where every decision can improve a member’s care experience. As an LPN Case Management Analyst, you will help connect members with the right services, reduce gaps in care, and support thoughtful use of healthcare resources. You will join a team of ambitious and compassionate experts who learn together, adapt quickly, and focus on better outcomes.

Requirements

Active, unrestricted LPN or LVN license in your primary state of residence.
Minimum of 1 year of clinical practice experience.
Ability to review and apply clinical information, benefit documents, policies, and procedures to individual situations.
Strong written, verbal, listening, organization, and follow-through skills.
Ability to manage multiple priorities, meet deadlines, and make sound decisions with professionalism and patience.
Basic computer skills, including Microsoft Windows and Word, with the ability to learn and adapt to new software.

Nice To Haves

Experience in Maternity Management, Pre/Post Surgical, Oncology preferred.
Experience in case management, care coordination, discharge planning, claims review, or a health plan setting.
Knowledge of claims processing procedures and quality assurance requirements.
Experience serving as a trainer, preceptor, subject matter expert, or committee contributor.

Responsibilities

Assess clinical information and identify members who may benefit from case management based on health changes, claims triggers, and clinical judgment.
Conduct initial outreach and engagement activities to introduce programs, gather information, identify immediate needs, and facilitate referrals to appropriate case management, disease management, or community resources.
Coordinate referral requests and apply clinical policies and guidelines to support timely, high-quality care decisions.
Improve continuity of care through pre- and post-surgical planning, discharge follow-up, and referrals to chronic care or disease management programs.
Serve as a trusted resource for referrals to specialized vendor partners while following client-specific requirements.
Communicate clear, accurate information to members, providers, and internal partners, and document each interaction in the appropriate system.
Meet quality assurance, protocol, and documentation standards while using sound judgment to solve problems and manage competing priorities.
Strengthen team capability by sharing knowledge, supporting training, contributing to meetings or committees, and completing assigned improvement work.
Build expertise in claims processes, benefit documents, and evolving technology to make accurate and consistent decisions.